Self Love Retreat
Thank you for your interest in joining our Self Love Summer Retreat, taking place on the 4th/5th of June.
Help us by completing this short registration form so we can learn a bit more about you before we meet.
We will contact you by email with more event details and the invoice, once you’re registered.
Thank you!
Sign in to Google to save your progress. Learn more
Your Name: *
Nationality * for hotel reservations
Your Email: *
Your address * for invoice *
How did you find out about our Self Love Summer Retreat? *
What brings you to our Self Love Summer Retreat *
For example: what are you intentions for joining us/do you have an ideal wish?
Do you have any food allergies, or food preferences. *
Are you applying for partial attendance or reduced cost? Please can you share more.   *
Places are limited: your answer will help us to determine how many reduced cost places can be offered. You do not need to share anything that feels uncomfortable, or personal. Your response will also help when creating future events and activities.
Do you have any access needs you would like us to be aware of? *
Please say if you would like us to contact you before joining to discuss your needs. For example, limited mobility, sensory impairment, or other disability/accessibility related needs.  
Would you like to be informed of future Wellbeing events, activities and offers by email?
Clear selection
Anything else you wish to tell us, or ask about?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy